- Prime Therapeutics (Harrisburg, PA)
- …information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs. + Demonstrates flexibility in areas such as job ... application process. + Refers patients/EAP clients to the Care Management team for a provider, EAP affiliate, or Facility....$17.85 - $25.48 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our… more
- Elevance Health (Indianapolis, IN)
- …required. **Preferred Skills, Capabilities, and Experiences:** + Previous experience in case management / utilization management with a broad range of ... offers superior clinical mental health and substance use disorder management , a comprehensive employee assistance program, work/life support, specialty programs… more
- Diversicare Healthcare Services & Diversicare Ther (Hartford, AL)
- …Degree in nursing 2. RN License 3. Knowledge of healthcare reimbursement, utilization management , and discharge planning. 4. Experience providing strategic ... in and facilitate Engage/72 HR Admission meetings as part of the care management system. + Manage the restorative nursing program, integrating it with the activity… more
- Veterans Affairs, Veterans Health Administration (Chicago, IL)
- …possesses intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation ... responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Acts as… more
- HCA Healthcare (Salem, VA)
- …chain of command.** **. In a RN Case Manager role, you will perform utilization management reviews and communicates information to third party payers** **. You ... member of this team, you will develop a case management plan of care for new and reoccurring patients...for our RN Case Manager Behavioral Health opening. We review all applications. Qualified candidates will be contacted by… more
- Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
- …of Fee federal regulations, VHA guidelines, medical review criteria, care management and utilization management processes, inter-facility transfer and ... position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting.… more
- Veterans Affairs, Veterans Health Administration (Chesapeake, VA)
- …treatment provided to patients; patient satisfaction activities; patient safety and risk management activities; and utilization management . Assists in ... (credentialing and privileging). Develops policies and procedures to assure effective management , ethics, safety, communication, and quality within the section and… more
- Elevance Health (Nashville, TN)
- …services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of experience with ... managing Applied Behavioral Analysis behavioral health benefits through telephonic or written review . **How You Will Make an Impact** Primary duties may include, but… more
- HCA Healthcare (Pulaski, VA)
- …established chain of command. .In a RN Case Manager role, you will perform utilization management reviews and communicates information to third party payers .You ... member of this team, you will develop a case management plan of care for new and reoccurring patients...apply for our RN Case Mgr PRN opening. We review all applications. Qualified candidates will be contacted for… more
- Katmai (Fort Carson, CO)
- …all levels of health care management to include outside agencies. Performs utilization management activities to optimize cost, quality, and access to care. ... and employ safe work habits. + Utilize available information management systems in daily practice for patient care and...facility staff members to facilitate patient care. + Accurately review and confirm completeness of patient chart and report… more